Effectiveness of Umonium38 against Burkholderia pseudomallei, Escherichia coli, Pseudomonas aeruginosa and Methicillin-Resistant Staphylococcus aureus (MRSA)

Aims We investigated the antibacterial efficacy of Umonium38 and Virkon® against Burkholderia pseudomallei, Escherichia coli, Pseudomonas aeruginosa and Methicillin-Resistant Staphylococcus aureus (MRSA) up to 14 days following treatment. Methods and results Umonium38 was diluted to 0.5%, 1.0%, 1.5%, 2.0%, 2.5% and 3%, tested against the bacterial strains at various contact times (15 min to 24 h), and incubated for up to 14 days. A minimum concentration of 0.5% Umonium38 with a contact time of 15 min effectively killed approximately 108 CFU/ml of all four bacterial species. No growth was observed on agar plates from day 0 until day 14 for all six concentrations. The bacteria were also inactivated by a 30-minute treatment time using Virkon® 1% solution. Conclusions Umonium38 effectively inactivates B. pseudomallei, E. coli, P. aeruginosa and MRSA at a concentration of ≥ 0.5% with a contact time of at least 15 min. The antimicrobial effect of Umonium38 remained for 14 days. Supplementary Information The online version contains supplementary material available at 10.1186/s12879-024-09102-9.


Introduction
Effective disinfection is crucial for infection control as it helps to control potentially hazardous microorganisms, especially in laboratory environments.It is crucial to use validated decontamination protocols to effectively inactivate pathogens as this reduces the likelihood of pathogen exposure, resulting in laboratory-acquired infections and contamination of laboratory and outside environments.The selection of a disinfectant is often based on various factors, including the pathogens to be manipulated, compatibility with laboratory surfaces and efficacy of inactivation [1].This is particularly important in low-resource settings, where cost, availability, and concentration influence decisions.
Laboratory personnel consistently face significant hazards when exposed to hazardous and potentially lethal pathogens.The routine handling of pathogenic biological agents by laboratory personnel necessitates adherence to stringent safety protocols due to the inherent risk of infection.P. aeruginosa is an opportunistic bacterium classified as risk group 2 [2] that frequently causes nosocomial infections, particularly in patients with burn wounds, cystic fibrosis, acute leukaemias, organ transplantation, and intravenous drug addiction [3].Inadequate infection control protocols can contribute to its persistence.They can survive under various environmental conditions, such as storage tanks, disinfectant solutions, and urinals in hospital environments [4].According to the Centers for Disease Control and Prevention (CDC), P. aeruginosa causes 51,000 healthcare-associated infections in US hospitals annually, with 13% of cases exhibiting multidrug resistance, leading to 440 deaths each year [5].Similarly, Methicillin-Resistant Staphylococcus aureus (MRSA) infection is a significant source of nosocomial and community-associated infections, potentially leading to mortality due to its resistance to conventional beta-lactam antibiotics [6].The manipulation of S. aureus necessitates adherence to Biosafety Level 2 practices and procedures [7].Specific populations, including athletes, daycare and school children, military personnel residing in barracks, and individuals undergoing inpatient medical care, surgery, or using medical devices, are more susceptible to MRSA infection [8].
Burkholderia pseudomallei is a gram-negative bacterium classified as risk group 3 and causes melioidosis infection [9,10].Patients infected with this bacterium often experience symptoms that can be easily confused with other diseases, such as tuberculosis [11].B. pseudomallei infection can lead to local infection, bacteremia, pulmonary infection, and disseminated infection, with a mortality rate of approximately 21% [9].Escherichia coli is mostly harmless to humans; however, some strains, such as enterotoxigenic E. coli O157:H7 [12,13], can cause serious illness.These pathogenic strains are known to contaminate food and water sources, leading to symptoms such as diarrhoea and poisoning in people who come into contact with them.
Umonium 38 has been reported as a broad-spectrum disinfectant for laboratory purposes for a wide range of bacteria, viruses, and fungi.The active ingredient of Umonium 38 is isopropyl-tridecyl-dimethyl-ammonium, a surfactant that breaks the bonds between water molecules and penetrates deeper into micro-asperities, allowing it to dissolve other molecules [14].Studies have demonstrated that Umonium 38 is a highly effective disinfectant against avian influenza virus (AIV) subtype H5N1 and Newcastle disease virus (NDV) [15].Furthermore, Umonium 38 , when combined with other active compounds, exhibits anti-mycobacterial and antibacterial properties [16].Umonium 38 offers several advantages, such as its broad antibacterial properties, relative affordability, and user safety since it contains no carcinogenic or endocrine-disrupting components [14].It is also compatible with several industrial and equipment surfaces, thanks to its neutral pH, non-flammability, and lack of toxic gas emissions [14].
This study aimed to assess the bactericidal efficacy of various concentrations of Umonium 38 against four bacterial species: B. pseudomallei, E. coli, MRSA and Pseudomonas aeruginosa.We also examined the bactericidal efficacy of Umonium 38 and determined its stability over 14 days post-treatment.Furthermore, we aimed to compare the bactericidal efficacy of Umonium 38 with Virkon®, a widely employed and currently available laboratory disinfectant.

Bacterial suspension preparation
Bacteria were retrieved from frozen stocks and sub-cultured using selective Ashdown's agar for B. pseudomallei and Columbia agar for E. coli, MRSA, and P. aeruginosa.The bacteria were incubated at 37 o C for two days before re-subculturing 3-5 colonies on Columbia agar and incubated at 37 o C overnight.A bacterial suspension was formed by emulsifying pure colonies in 20 mL of normal saline solution (NSS).The bacterial turbidity was adjusted to meet the McFarland standard number 7.0, which resulted in an estimated bacterial concentration ranging from 1.0 to 3.0 × 10 9 CFU/mL (stock concentration), which was used for in vitro testing purposes.

In vitro bacterial viability testing
Umonium 38 was diluted in distilled water at concentrations of 0.5%, 1%, 1.5%, 2%, 2.5%, and 3% (v/v) and stored at room temperature (25-35 °C).Concentrations were selected based on manufacturers' recommendations and practical considerations, including overnight soaking of contaminated materials.A negative control (NC) of 1% (w/v) Virkon® and a positive control (PC) of distilled water were used for each Umonium 38 concentration (refer to Table 1).To achieve a bacterial concentration in the range of 2-6 × 10 8 CFU/mL in each tube, 1mL of 1-3 × 10 9 CFU/mL stock concentration of each isolate was dispensed into tubes containing 4 mL (ratio 1:5) of 0.5-3% concentrations of Umonium 38 (see Fig. 1).After 15 min, 30 min and 24 h of contact time, 100 µL of each Umonium 38 concentration, negative control tubes and positive control tubes was removed and spread onto Columbia agar plates, and another 100 µL was added to 3 mL of enrichment tryptone soya broth (TSB).To determine the bacterial viability result on day 0, plates and broth tubes were incubated at 37 °C for 48 h, and the resulting colonies on cultured plates were counted and calculated to CFU/mL.After 48 h of incubation for broth tubes without shaking, use 100 µL to spread onto Columbia agar plate (perform duplicated plates per broth tube).
Plates were incubated at 37 °C for 48 h, and viability testing results were read as growth (+) and no growth (-)(see Fig. 1).

Stability of disinfection
To determine the stability of Umonium 38 over 14 days, the same procedure was followed for preparing the cultures and Umonium 38 at the six concentrations (i.e., 0.5%, 1%, 1.5%, 2%, 2.5%, and 3%).Viability testing on days 3, 5, 7, and 14 with different contact times of 15 min, 30 min and 24 h was performed on an agar plate and broth as described on day 0. TSB tubes were inoculated in triplicate and incubated at 37 °C without shaking, and culture attempted after 48 h of incubation by collecting 100 µL from TSB tubes to spread onto Columbia agar plates and plates were incubated at 37 °C for 48 h, with growth (+) or no growth (-) recorded for each organism.In addition to the six Umonium 38 concentrations, a 1% Virkon NC and Distilled water PC were also included.A summary of all the tested disinfectants and concentrations is presented in Table 1.

Umonium 38 and virkon®
Umonium 38 demonstrated potent antimicrobial activity against P. aeruginosa, E. coli, B. pseudomallei, and MRSA.At a concentration of 0.5%, Umonium 38 completely inactivated P. aeruginosa, E. coli, and MRSA within 15 min of exposure (Table 2 and Table S1).However, B. pseudomallei required 1% Umonium 38 with contact for 15 min or 0.5% concentration with contact for 24 h to achieve a complete kill (Table 2 and Table S1).While also effective against the four bacterial strains, 1% Virkon® required a contact time of 30 min to achieve comparable outcomes (Table S1).

Stability of Umonium 38 antibacterial efficiency
Umonium 38 consistently demonstrated its efficacy throughout the experiment by inactivating P. aeruginosa, E. coli, B. pseudomallei, and MRSA to the same extent on day 3 as on day 0. No growth of these bacterial strains was observed on day 5.Although B. pseudomallei requires a longer contact time of 30 min to achieve a similar effect, exposure to 0.5% Umonium 38 for just 15 min resulted in complete inactivation of all four bacterial strains on days 7 and 14, as shown in Table 2 and Table S1.Additionally, no growth of these organisms was observed after 14 days of incubation with 1% Virkon® (Table S1).

Discussion
This study is the first to determine the most effective Umonium 38 concentration and duration of contact for inactivation of P. aeruginosa, E. coli, B. pseudomallei, and MRSA under optimal conditions.1% Virkon® was also effective against the four bacterial strains following a 30-minute contact time.
The results presented in this study reflected those of the Umonium 38 manufacturer (summarised in Table 3) on P. aeruginosa and E. coli using European Standards EN 1276:2019 and EN 1040:2006 [19].They reported a contact time of > 10 min, and a 0.5% Umonium 38 solution resulted in a reduction of over 10 5 in both bacteria; however, after a 1-minute contact, the reduction reported was < 10 5 [19].The report also mentioned that a higher concentration of 2.5% Umonium 38 required a minimum contact time of only 1 min to achieve the same bactericidal effect as 0.5% Umonium 38 following 10 min of contact [19].Similar results were achieved for inactivating P. aeruginosa and E. coli using 0.5% and 2.5% Umonium 38 following 15 min of contact following the European Standard EN13697:2001 [16].
Our results demonstrated that 0.5% Umonium 38 can effectively inactivate MRSA within 15 min, sustained for 14 days, and underscores its potential for safely and effectively disinfecting equipment surfaces and laboratory environments.MRSA inactivation currently focuses on light utilisation, such as far-UVC LEDs with a wavelength below 240 nm [20,21] and antimicrobial photodynamic therapy with a porphyrinic formulation [22] for antiseptic purposes  on the skin.In addition, the efficacy of octenidine hydrochloride has been assessed for the inactivation of MRSA biofilm formation on medical implants and laboratory equipment within hospital settings [23].
Our study demonstrated that B. pseudomallei required 1% Umonium 38 with contact for 15 min for effective inactivation.Other chemical treatments, heat exposure, autoclaving, and radiation are also effective for B. pseudomallei inactivation.Chemical agents, including chlorine dioxide solution [24], pH-adjusted bleach, ethanol solution (70%), quaternary ammonium compounds, and PineSol® [25] have been proven effective.B. pseudomallei can be effectively inactivated by heat treatment at 80 o C for 1 h [26] or 121 o C for 15 min [27].Exposure to sunlight with wavelengths ranging from 295 to 305 nm can inactivate B. pseudomallei concentrations from 10 4 to 10 6 CFU/ml in 60 to 180 min [28].Furthermore, ultraviolet (UV) light with a wavelength of 365 nm, emitting a radiant flux of 90,000 mWs/cm 2 at a flow rate of 5 L/min, resulted in the inactivation of B. pseudomallei 10 6 CFU/mL [29].
A limitation of the results presented in this study is that it has been performed under optimal conditions, and the results should be interpreted as such.The effectiveness of chemical disinfectants under different background conditions, including pH, and in the presence of significant biological matrices, including culture media or organic contamination, may affect the efficacy of the inactivation of Umonium 38 .Raffo et al. [16] investigated the impact of "clean" and "dirty" conditions on the effectiveness of 0.5% and 2.5% Umonium 38 for inactivating P. aeruginosa and E. coli.The "clean" condition involved 0.3 g of bovine serum albumin per liter of water, while the "dirty" condition involved the combination of 3.3 g of bovine serum albumin with 3.0 ml of red blood cells per liter of water.The study found that for both P. aeruginosa and E. coli.under "clean" conditions, 0.5% Umonium 38 treatment gave a 4-log 10 reduction in infectivity after 15 min; however, 60 min was required under "dirty" conditions [16].Interestingly, 2.5% Umonium 38 achieved a 4-log 10 reduction in infectivity of both pathogens after 15-minute exposure for both "clean" and "dirty" conditions [16].Therefore, additional studies are required to determine the optimal concentrations for the inactivation of B. pseudomallei and MRSA under sub-optimal conditions, including organic loads or varied pH.
The results presented here demonstrate the effectiveness of Umonium 38 and Virkon® for a selected group of bacteria under optimal conditions.When used correctly, Umonium 38 offers laboratory staff an alternative for effective disinfection and provides an affordable and practical method for routine disinfection.Further work is required to determine the effectiveness of this and other disinfectants under the practical circumstances of everyday use.

Fig. 1
Fig. 1 Research objectives and experimental design

Table 1
Overview of the disinfectants and the concentration of their active ingredients tested

Table 2
Results indicating minimum concentrations of Umonium

Table 3
[19]ary of the manufacturer's (Huckert's International, Belgium) antibacterial validation results and the results of studies on P. aeruginosa (ATCC 27,853) and E. coli (ATCC 25,922).Adapted from[19].Numbers in bold are the results from this study.